Author: Pernille Mølgaard Toft
Last saved by: Nanna Elina Navarana Steenholdt
Company: Dansk Polarcenter

RADIO LICENCE APPLICATION FORM

To be forwarded to
Government of Greenland, 
Radio Administration 
P.O. Box 909, DK-3900 Nuuk, Greenland 
Phone +299 345000
Fax +299 346356
RFV@nanoq.gl   /   www.naalakkersuisut.gl

Expedition reference no.  		               (Assigned by the Expedition Office)   

General information  

Project / Expedition title:

Name and address of responsible leader:

Phone:		             Fax:			     E-mail:

Geographical area(s) or route:

Period of stay - dates of starting and ending the project / expedition:

INVOICE RECIPIENT 
Company number: 

Phone number: 
Name:
Address:
Postal code:
City name:
Email address: 

Application for HF/MF radio systems

Make:				Type:

Radiated power:			Antenna(s)

Modulation type:   Telephony SSB              Telephony FM             Telegraphy CW               Other

Specify other:

Use of radio system:     

Base radio station	      Internal communication

Available frequencies:     2784 kHz               3350 kHz            3815 kHz            4050 kHz

Communication with Greenland coastal radio systems

Available frequencies:               2045 kHz                     2090 kHz                  2182 kHz               

Maritime VHF channels:          

Application for VHF radio systems

Make:				Type:

Radiated power:			Antenna(s)

Use of radio systems for internal communication

148.0 – 155.0 MHz	State your frequency 

445.0 – 445.975 MHz	State your frequency 

Other		State your frequency

Air / ground communication 122.8 MHz

Citizen band radio                       Band

Approved by

Project / expedition participants possess valid radio certificate                   Copy attached 

State other qualifications, if any, e.g. previous experience with radio systems 

Other radio systems – Emergency radio beacons

Make:				Type:

Frequencies:	121,5 MHz		If 406 MHz, state assigned:
Hexi digital identification code (The code consists of 15 digit numbers and letters, numbers 0-9, letters A-F)

This is to certify that I have been informed of and accepted the contents of ’Regulations for use of radio equipment in Greenland’
 
Date   			               Signature